Small Bumps on the Inner Foreskin: Causes and Concerns - Urology

More Info

---

Understanding small bumps on the inner foreskin can be concerning, especially when they persist over time without any accompanying symptoms such as pain or itching. Based on your description, it seems you have noticed small, skin-colored bumps located on the inner foreskin, specifically near the frenulum. These bumps have been present for about three years and have not changed in size or appearance.

Firstly, it is important to understand that the inner foreskin can sometimes develop various types of benign lesions or bumps. Some common causes for such bumps include:
1. Pearly Penile Papules: These are small, dome-shaped bumps that are often found in rows around the corona of the glans (the head of the penis). They are completely normal and are considered a variant of normal anatomy. They are not harmful and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that are actually sebaceous (oil) glands that are visible through the skin. They are also a normal anatomical variant and are not a cause for concern.

3. Lichen Simplex Chronicus: This condition can cause thickened skin and small bumps due to chronic irritation or scratching. However, this typically presents with itching or discomfort.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They can be itchy or uncomfortable, and while they are generally harmless, they can be contagious and may require treatment.

5. Other Dermatological Conditions: Conditions like folliculitis or other benign skin lesions can also present as bumps.

Given that you have not experienced any pain, itching, or changes in the bumps over the years, it is likely that they are benign. However, it is essential to consult a healthcare professional, preferably a urologist or dermatologist, for a proper evaluation. They can perform a physical examination and may recommend further tests if necessary to rule out any serious conditions.

In terms of management, if the bumps are determined to be benign, no treatment may be necessary. However, if they are causing you anxiety or if there is any change in their appearance, discussing removal options with your doctor could be beneficial.

In summary, while small bumps on the inner foreskin can be concerning, many are benign and do not pose any health risks. It is always best to seek professional medical advice for a definitive diagnosis and peace of mind. Regular self-examinations and awareness of any changes in your body are good practices for maintaining your health.